I've also been diagnosed with sesamoiditis, after almost 2 years of pain. Apparently I need to rest up my foot (with orthodics and no heels) and my rheumotologist has suggested the pain will go away... if not, there are options involving surgery or cortisone injections, apparently, and also a cast to reduce pressure and allow the wound to heal. Like those above, I'm unsure as to how I got this; could have been a stress fracture originally, or perhaps as a result of standing on something (I did stand on a thorn around the same time that went in quite deep) or perhaps repetitive strain of some sort... who knows! I just hope that two months of big ugly supportive shoes will do the trick!
1) Wear comfortable tennis shoes every day, put arch supports in them. I bought "Happy Feet" from the Kaiser pharmacy.
2) Stop working out! To a certain degree it felt to me like working out didn't make it any worse, but I guarantee you that you won't get better unless you stop all exercise for at least a week, maybe two. After a week you can start to reintroduce some things, like carefully riding a stationary bike without bending your toes, or weights and machines at the gym. Basically you need to stop all exercises that require bending or pushing off of the ball of your feet.
3) Get a gel metartasal pad!!! I ordered one on Amazon, it came with a toe loop, I cut this loop off because it hurt my toe and wore it under a snug pair of socks every day. After two days of wearing this pad my pain was almost completely gone.
4) Ice the area. Fill up a large water bottle with water and put it in the freezer. Roll your foot over this bottle for about 20 minutes a few times a day.
5) Take Alieve. This stuff is pretty harsh on your stomach, so don't take too much, I only took one a day.
6) Try not to bend your toes when you walk. Walk with a flat foot.
7) Use a hand held massager on the area a couple times a day for about 10-20 minutes.
I have been doing all of the above for about 10 days and I can now put full pressure back on my foot while walking. Yea!! I will continue to take it easy with the exercise and wear my tennis shoes and the pad for a few more weeks.
I am Physical Therapist and very athletic person. I had sesamoditis for myself and I want to share my knowledge to help you.
The pain was completely gone within 3 weeks.
1. REST REST REST. If you are runner, dancer... take some time off and allow healing process.
2. ICE MASSAGE (not ice pack). Use an ice cube to massage your foot for 10-15 minutes daily (before sleep).
3. BUY/WEAR flat and stiff bottom shoes. Best are tennis and cross training shoes. ( NB, Nike).
4. BUY/WEAR metatarsal sleeve to unweighted big toe area. I recommend: FlexaMed-Metatarsal-Sleeve.
Walking will not be the most comfortable but your foot will adjust to it. Most important : you will walk !
5. TAPE YOUR BIG TOE to immobilize joint, daily. Read this article and watch video how to do it.
***this post is edited by moderator *** *** web addresses not allowed***
7. BUY BIOFREEZE pain reliever and massage your foot with it before sleep.
8. STRETCH: Gatrocenemius muscle 3 x 30 sec daily.
9. BALANCE exercises ( as soon as you can do) EX: Stand on one leg for 30 sec x 3.
Also you can add:
Hamstring, Quads stretch and Peronals muscle strengthening with thera- bend. (resist foot pointing down).
Daily Active ROM : toes up and down and circles (do not go beyond pain tolerance).
Also, you can add inserts with arch support to your shoes. It does help.
Within 3 weeks you will be able to go back to your activities pain free.
Remember REST, REST, REST.
***this post is edited by moderator *** *** web addresses not allowed***
I hope this helps.
I have some advice to share and some questions to ask you all.
I've been dealing with pain in the ball of my left foot, but NOT taking it seriously for over 6 years. I'm pretty young (26) so I always thought I'd outrun it / get over it. So I still wore heels, hard flat shoes, and jogged a lot.
In December 2011, being in pain as usual I still decided to train for a 10-miler. I completely messed up my left foot. It hasn't healed since then and still hurts, and I can no longer exercise on my feet (almost 4 months now). To make matters worse, I've been putting all of the pressure on my right foot and developed the same pain in my right foot now. Great...
WHAT HELPS MY PAIN:
Metatarsal sleeves take pressure off of the ball of the foot and definitely help. Just make sure it doesnt go under the ball of your foot.
Arch support in the shoe.
I don't see how a hard flat insole is good for this -- so I recommend shoes that are soft on the inside.
Massaging and stretching my feet, doing strengthening exercises helps.
And I can still swim, which is great.
I'm conflicted about the icing technique because I have poor circulation in my feet (and hands) and they all hurt more when they are very cold.
POTENTIAL TREATMENTS - has anyone tried this?
Calcium, magnesium, vitamin D, vitamin C, and omega 3 krill oil supplements?
Platelet-rich plasma injections (PRP)?
Graft/fat pad placement?
EBI Bone Growth machine?
Electro-acupuncture, acupuncture, acupressure, deep tissue massage?
I found online that some people are prone to hyper-mobile joints and if you combine that with bony/skinny high-arched feet you are likely to develop sesamoiditis/tendinitis.
Moral of my story is DO NOT ignore your pain or try to toughen it out. You'll end up more hurt and out of commission for who knows how long. And if the first specialist you see doesn't help (like my first orthopedic surgeon) find another one. I already have two appointments scheduled with foot orthopedist and a podiatrist. And a long list of questions and possible treatments to ask about.
Be proactive, be smart.
What worked for me was cycling daily for 45 minutes on a stationary bike. A complete heal occurred in about 3 months
I've had pain since July and ignored it. Very sharp pain in the day when I put pressure on it. It got so bad that it never stopped hurting, just changed to dull and throbbing at night and kept me awake. I was just diagnosed with sesamoiditous in Sept. When I saw an orthopedist, he gave me a cortizone shot and put me in a "boot" for 3 weeks. While there was some relief the first week especially at night, it seems to be hurting more as I finish the second week. He told me not to take anti-infammatory drugs. I've found that ice just makes it hurt more.... I'm also having hip pain from walking weird. My whole job is hiking on uneven ground. Has anyone found a good brand of hiking boots that might help more than others?
My 9 year old daughter was diagnosed with sesamoiditis recently. She had what we thought was an injury in one foot about 9 months ago and then her other foot flared up this past week which lead her ortho Dr to diagnose the sesamoiditis. I have many questions and concerns. She is very active. She plays softball and soccer year round and on top of that she is always on the go. My child is never still. After reading many post by older people and the reoccurance most experience I am at a lost as to what to do for my child. She complains with pain a lot but there has only been 2 times that it has actually stopped her. Has anyone had the surgery to remove the bones? Also, has anyone had a child diagnosed with this? She is currently in a boot and on crutches to try to minimize her activity and to give it time to heal. She is also taking motrin 3 times a day. The Dr sent her for labs to check for rheumatoid arthritis and other blood disorders. My worries is my daughter is going to have to deal with this the rest of her life. Any words of advice would be greatly appreciated.